Provider Demographics
NPI:1538493747
Name:STAGE THREE ANESTHESIA INC
Entity Type:Organization
Organization Name:STAGE THREE ANESTHESIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHALKLE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:602-509-5353
Mailing Address - Street 1:PO BOX 1534
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85327-1534
Mailing Address - Country:US
Mailing Address - Phone:602-509-5353
Mailing Address - Fax:480-419-7553
Practice Address - Street 1:20950 N TATUM BLVD
Practice Address - Street 2:STE 150
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-4200
Practice Address - Country:US
Practice Address - Phone:480-991-6877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty